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Either (1) amend its medicaid state plan, the state's contract with the federal government

Or (2) receive an exemption or medicaid waiver from portions of title xix of the social security act by the centers for medicare & medicaid services (cms) Medicaid waiver programs are available in all states to people with specific healthcare needs, allowing home and community care Two fact sheets and one short slide deck provide an overview of medicaid waivers and state plan amendments, and how they are used in california. Covers waitlists, services, and next steps.